婴幼儿先天性唇裂早期修复同期行鼻畸形矫正初步报告

目的 探讨婴幼儿先天性唇裂早期修复，同期矫正鼻畸形，以避免唇裂术后继发鼻畸形而再次手术的可行性。方法，采用Millard I式或II式唇裂修复法修复唇裂，同期矫正鼻畸形，使移位的鼻翼软骨，鼻中隔软骨复位，以恢复正常的解剖关系，结果 1998－1999共矫治30例，年龄3个月至3岁，单侧唇裂24例，双侧唇裂6例，随诊最长18个月，效果良好。结论 唇裂患儿幼小时组织比较薄膜，畸形易于矫正，早期修复唇裂，同期矫正鼻畸形，使畸形的鼻翼软骨，鼻中隔恢复到正常的解剖学位置并在此位置 生长发育，鼻畸形可望明显改善。

Early repair of congenital cleft lip with correction of nasal deformities

Objective To investigate early repair of congenital cleft lip with correction of nasal deformities at the same time so as to avoid another operation for the deformities. Methods Millard Ⅰ or Ⅱ of cleft lip repair was used with correction of nasal deformities at the same time,in which the displaced alar cartilage and the deviated septum were replaced to their normal anatomical position. Results Thirty patients aged 3 months to 3 years were treated with this method from 1998 to 1999. Among them 24 patients suffering from unilateral cleft lip,and six bilateral cleft lip. The longest time of postoperative followup was 18 months. The results are excellent. Conclusions The tissues of cleft lip infants are feeble and the deformities are easy to correct. Repair of the displaced alar cartilage can enable the deviated septum to return to the normal anatomical position and to grow in the right place. As a result, the nasal deformity will not appear any more.